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KMID : 0931320130130030147
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대한상부위장관.헬리코박터학회지
2013 Volume.13 No. 3 p.147 ~ p.153
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The Role of Gastrointestinal Endoscopy in the Treatment of Advanced Gastric Cancer
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Choi Min-Ho
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Abstract
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Gastric cancer is the 2nd most common cancer in Korea. Poor prognosis and high incidence of complications are expected for ad-vanced gastric cancer. Surgical treatment is the only therapeutic modality that has a potentially curative effect. Endoscopic treat-ment is indicated for palliation, symptomatic relief, hemostatis and oral nutrition. With the introduction of uncovered self-expand-ing metal stents in the early 1990s, endoscopic stents have evolved dramatically over the past 20 years and is primarily used to pal-liate symptoms of malignant obstruction in patients with inoperable gastrointestinal cancer. Malignant tumours were the source of bleeding in 5% of patients with overt upper gastrointestinal bleeding (UGIB). Patients presenting with tumor-associated UGIB have substantial blood loss at presentation. Initial hemostasis occurs in almost all patients, with endoscopic therapy, but rebleeding fre-quently occurs and early rebleeding is associated with poor survival.
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KEYWORD
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Stomach neoplasms, Gastrointestinal endoscopy, Obstruction, Stents, Gastrointestinal hemorrhage
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